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1801546171
MARISSA NICOLE STALETS
INDIANAPOLIS, IN
NPI
1801546171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-28
Last Update Date
2023-06-22
Business Address
MARISSA NICOLE STALETS DO
1130 WEST MICHIGAN ST FH 204
INDIANAPOLIS, IN 46202-5209
Phone number: 317-274-0076
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Mailing Address
MARISSA NICOLE STALETS DO
1130 WEST MICHIGAN ST FH204
INDIANAPOLIS, IN 46202-5209
Phone number:
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